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Title: Effects of a written asthma action plan on caregivers' management of children with asthma: A cross-sectional questionnaire survey
Authors: Tan, N.C.
Chen, Z.
Soo, W.F.
Ngoh, A.S.H.
Tai, B.C. 
Keywords: Asthma
Asthma action plan
Issue Date: Jun-2013
Citation: Tan, N.C., Chen, Z., Soo, W.F., Ngoh, A.S.H., Tai, B.C. (2013-06). Effects of a written asthma action plan on caregivers' management of children with asthma: A cross-sectional questionnaire survey. Primary Care Respiratory Journal 22 (2) : 188-194. ScholarBank@NUS Repository.
Abstract: Background: Caregivers of children with asthma provided with a written asthma action plan (WAAP) are reported to be more confident in their ability to provide care for their child during an asthma exacerbation. However, little is known about how a WAAP impacts on their care processes that contributed to this increased confidence. Aims: To determine the effects of a WAAP on caregivers' understanding of asthma symptoms, their use of asthma medications for their children, and acute care visits to consult their physicians. Methods: A questionnaire survey to caregivers of children with a WAAP (CW) and without a WAAP (CNW) who were followed up at nine public primary care clinics in Singapore. ÷2 test was used to determine the differences in outcomes between the CW and CNW groups, followed by logistic regression to adjust for potential covariates. Results: A total of 169 caregivers were surveyed (75 CNW, 94 CW). Caregivers in the CW group were more likely to understand bronchoconstriction (adjusted odds ratio (AOR) 4.51, p=0.025), to feel capable (AOR 2.77, p=0.004), safe (AOR 2.63, p=0.004), and had increased confidence (AOR 2.8, p=0.003) to change doses of inhaled medications during an asthma exacerbation. The CW group perceived inhaled asthma medication to be safe (AOR 3.42, p=0.015) and understood the use of controller medication (AOR 3.28, p=0.006). No difference was noted between caregivers in their likelihood to stop medications without consulting their physician, seek acute care consultation, and confidence in self-management of their children's asthma at home. Conclusions: The WAAP improved caregivers' understanding of the disease and use of inhaled asthma medications during asthma exacerbations but did not affect their decision regarding acute visits to their physician. © 2013 Primary Care Respiratory Society UK.
Source Title: Primary Care Respiratory Journal
ISSN: 14714418
DOI: 10.4104/pcrj.2013.00040
Appears in Collections:Staff Publications

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